When we bill for anesthesia for the colonoscopy, we would bill 00810 (the anesthesia cross-code for any of the colonoscopy codes). In our practice, if the provider notes screening colonoscopy and then a finding, we would bill the v76.51 primary, the finding secondary. The problem comes when either the provider doesn't note that it started as a screening or if the provider noted the patient was having symptoms (rectal bleeding, change in bowel habits, etc). When the patient is having the colonoscopy because of a sign/symptom, it becomes diagnostic and we don't apply the v76.51 code.
I hope this helps
Kellie, CPC, CANPC
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